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NPI Code Detail

MEDICARE: VICTORIA ELKINS, LCSW P.A.

MEDICARE: VICTORIA ELKINS, LCSW P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1IB445AOTHERPTAN

General Provider Information

NPI Number : 1487015160
Entity Type Code : Organization
Provider Name (Legal Business Name) : VICTORIA ELKINS, LCSW P.A.
Provider Business Mailing Address
First Line : 6582 MARBELLA DR
Second Line :
City : NAPLES
State : FL
Zip : 34105-5041
Country : US
Telephone Number : 239-919-4989
Fax Number :
Provider Business Practice Location Address
First Line : 670 GOODLETTE RD N
Second Line : STE 208
City : NAPLES
State : FL
Zip : 34102-5614
Country : US
Telephone Number : 908-581-4542
Fax Number : 772-777-2855
Authorized Official
Title or Position : OWNER
Name : MS. VICTORIA ELKINS
Credential : LCSW
Telephone Number : 908-581-4542
Provider Enumeration Date : 03/09/2016
Last Update Date : 03/10/2016

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